Individual provider · Type 1 NPI

Kimberly Marie Shanks, FNP

Family Nurse Practitioner · Shaw Afb, SC

NPI number 1366415184 Active

About NPI 1366415184

Kimberly Marie Shanks, FNP's National Provider Identifier is 1366415184, issued on Feb 10, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Shaw Afb, SC. The record was last updated on Nov 23, 2007.